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NPI Code Detail

MEDICARE: MRS. ARLENE PEACOCK RPH

MEDICARE: MRS. ARLENE PEACOCK RPH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist21834FL

General Provider Information

NPI Number : 1588638647
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ARLENE PEACOCK RPH
Provider Business Mailing Address
First Line : 2900 VETERANS WAY
Second Line :
City : VIERA
State : FL
Zip : 32940-8007
Country : US
Telephone Number : 321-637-3788
Fax Number : 321-637-3554
Provider Business Practice Location Address
First Line : 2900 VETERANS WAY
Second Line :
City : VIERA
State : FL
Zip : 32940-8007
Country : US
Telephone Number : 321-637-3788
Fax Number : 321-637-3554
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/15/2006
Last Update Date : 09/13/2010

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Directions to “ MRS. ARLENE PEACOCK RPH” Practice Location

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